SHAWNA REYNOLDS, PA

Physician Assistant

Active Individual
NPI: 1023260783

Practice Address

1441 PARKWAY DR
Blackfoot, ID 83221

Phone: (208) 785-2600

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No PA-778 (ID)
Physician Assistant 363A00000X Yes PA778 (ID)

Frequently Asked Questions

NPI 1023260783 is the National Provider Identifier for SHAWNA REYNOLDS, PA, a Physician Assistant provider located in Blackfoot, ID. This NPI was enumerated on October 14, 2008.
SHAWNA REYNOLDS, PA practices at 1441 PARKWAY DR, Blackfoot, ID 83221.

Quick Facts

NPI
1023260783
Type
Individual
Enumerated
Oct 14, 2008
Last Updated
Apr 23, 2012

Nearby Providers